Cardiovascular System Flashcards

1
Q

What are functions of blood?

A

1) Transport of dissolved substances
2) Regulation of PH/Ions
3) Restriction of fluid losses at injury sites
4) Defence against toxins/pathogens
5) Stabilise body temperature
6) Maintains homeostasis

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2
Q

What are the components of blood?

A

55% Plasma
-Water, dissolved plasma proteins
-Materials exchanged across capillary walls
45% Formed Elements
-Red blood cells (transports oxygen)
-White blood cells (provide body defence)
-Platelets (cell fragments involved in clotting)

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3
Q

Describe the structure of red blood cells.

A
  • Biconcave disks, maintained by fibrous protein spectrin

- Provides flexibility

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4
Q

What are the structural characteristics of red blood cells?

A
  • Hemoglobin carry oxygen from lungs to tissues
  • Large surface area to volume ratio= carry more oxygen
  • Don’t consume oxygen: lack mitochondria
  • Hematocrit: % of formed elements in blood sample
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5
Q

What is erythropoiesis?

A

Stem cells mature to become red blood cells, occurs in myeloid tissue

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6
Q

Describe regulation of red blood cells by EPO.

A

Controlled by negative feedback

  • low oxygen levels in blood (hypoxia)
  • kidney senses hypoxia and releases Renal Erythropoietin Factor (REF)
  • REF converts plasma protein to erythropoietin
  • Erythropoietin converts plasma protein to erythropoietin
  • Erythropoietin stimulates red bone marrow to produce more RBCs to carry more oxygen
  • Oxygen levels in blood return to normal
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7
Q

Describe process of clot retraction

A

1) Platelets contract
2) Pulls torn edges of vessel closer together
3) Fibroblasts form new connective tissue, endothelial cells repair vessels

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8
Q

What are the phases of hemostasis?

A

1) Vascular Phase
2) Platelet Phase
3) Coagulation Phase

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9
Q

Describe the vascular phase

A
  • Cut in blood vessel wall, smooth muscle contracts

- Endothelial cells contract and become sticky

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10
Q

Describe the platelet phase

A
  • Begins within 15 seconds
  • Platelet plug formation: stick to endothelial surface
  • Platelets activated: extend projection and attach to each other
  • Platelets releases chemicals, promote aggregation/vascular spasm/vessel repair/clotting
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11
Q

Describe the coagulation phase

A
  • Begins 30 seconds after injury
  • Blood clotting
  • Clotting factors promotes formation of prothrombinase
  • Converts prothrombin –> thrombin
  • Converts fibrinogen –> fibrin, makes blood clot
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12
Q

Describe arteries/arterioles

A

Carry blood away from the heart

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13
Q

Describe veins/venules

A

Carry blood to the heart

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14
Q

Describe role of capillaries

A

Exchange of gases and nutrients

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15
Q

What is a pulmonary circuit?

A

Carry blood to and from the lungs

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16
Q

What is a systemic circuit?

A

Carry blood to and from the organs

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17
Q

Describe the structure of the heart?

A
  • Double walled sac of connective tissue
    1) Epicardium Wall (surrounding heart)
    2) Myocardium Wall (cardiac muscle)
    3) Endocardium Wall (simple squamous epithelium lining the heart)
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18
Q

Describe the internal structure of the heart

A
  • Atrioventricular valves (AV valves), right= tricuspid valve, left= bicuspid valve
  • 2 semilunar valves: pulmonary valve (lungs), aortic valve (aorta)
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19
Q

Describe blood flow through the heart

A
(deoxygenated blood)
Superior/Inferior vena cava
Right Atrium
Tricuspid Valve
Right Ventricle
Pulmonary Valve
Pulmonary Trunk
Lungs
(oxygenated blood)
Left Atrium
Mitral Valve
Left Ventricle
Aortic Valve
Body Tissue
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20
Q

Describe an electrocardiogram (ECG)

A
  • Assesses electrical event of conducting system
  • Depolarisation: initiates contraction of muscles
  • Repolarisation: initiates relaxation of muscles
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21
Q

What are the stages of the cardiac cycle?

A
  • Atrial Systole
  • Atrial Diastole
  • Ventricular Systole
  • Ventricular Diastole
22
Q

Describe atrial systole

A

-Atria contract, filling ventricles completely with blood

23
Q

Describe atrial diastole

A

-Atria relax

24
Q

Describe ventricular systole

A
  • Ventricles contract
  • Pushing blood out of AV valves into systemic and pulmonary circuits
  • Occurs at same time as atrial diastole
25
Q

Describe ventricular diastole

A
  • Ventricles relax

- Blood passively flows into atria and ventricles during this time

26
Q

What is the conducting system?

A
  • Initiating/distributing electrical impulses

- Each heart beat begins with an action potential

27
Q

Describe the conducting system process

A

1) Action potential initiates contraction
- Pacemaker cells depolarise and initiate impulse
2) Filling up lower chambers
- Depolarisation wave travels via internodal pathway to atria
- Stimulus travels to AV node
- Resister node enables time for atria to contract and fill lower ventricles
3) Ventricle contract
- Stimulus travels from AV node –> AV bundle
4) Stimulus passes through left and right bundle branches
5) Stimulus travels to purkinje fibres, spreading to contractile cells initiating contraction

28
Q

What are myocardial conducting cells?

A
  • Initiate action potential that travels through heart muscle
  • Triggers contraction that propels blood
29
Q

What are myocardial contractile cells?

A
  • Conduct impulses that pump blood through body connected to each other by intercalated disks
  • Gap junctions allows pacemaker to transfer depolarisation and contract coordinated manner
30
Q

What characteristics of cardiac pacemaker cells make them well suited to stimulating the cardiac muscle to contract?

A

Have automaticity: can generate an action potential without command from the nervous system
Have conductivity: ability to pass action potential to next cardiac cell

31
Q

Describe blood flow in the systemic circuit

A
Vein (carries blood to the heart)
Venule
Capillary Network 
Arteriole 
Artery (carries blood from the heart)
32
Q

Describe the walls of arteries and veins

A

Tunica externa: external
Tunica media: middle
Tunica intima: internal

33
Q

What are capillaries?

A

Function in a 2 way exchange

  • nutrients and oxygen to tissues
  • waste products and CO2 from tissues
34
Q

Describe the two types of capillaries

A

1) Continuous capillaries
- complete endothelium
- diffusion: prevent loss of blood and plasma proteins
2) Fenestrated capillaries
- pores: faster exchange, larger molecules

35
Q

Describe arterial blood pressure

A
  • Pressure that exerts organs against inner walls of blood vessels
  • Maintains adequate blood flow
  • Blood flow driven by pressure gradient
  • Flows from high to low pressure
36
Q

Describe the process of blood flow

A
  • Ventricles contract
  • Blood forced into elastic arteries
  • High pressure forces blood forward
  • Into areas of lower pressure
37
Q

What is venous pressure?

A

Determines venous return: amount of blood arriving at the renal artery each minute
-Must overcome gravity when standing

38
Q

Describe muscular compression

A

Contractions of skeletal muscle compresses veins, pushing blood flow towards the heart

39
Q

Describe the respiratory pump

A
  • Inhalation decrease pressure in thoracic cavity
  • Draws air in lungs, expands inferior vena cava: draw blood in right atrium
  • Allows filling, improve venous return
40
Q

What are determinants of blood pressure?

A

1) Cardiac Output
2) Blood Volume
3) Resistance

41
Q

Describe influence of cardiac output on blood pressure

A
  • Volume of blood being pumped by heart from left or right ventricle
  • Depends on heart rate and stroke volume
  • Increase cardiac output = increase blood pressure
  • Heart rate and stroke volume increase from sympathetic activity
  • Stroke volume increases venous return; vasoconstriction, skeletal muscle and respiratory pump enhances venous return
42
Q

Describe influence of blood volume on blood pressure

A
  • Influences how much blood is returned to heart
  • Increase BV: Increase CO: Increase BP
  • Depends on side of fluid between capillaries & interstitial spaces in cells
  • Depends on salt/water balance controlled by RAAS system & ADH
43
Q

Describe influence of resistance on blood pressure

A

-Depends on radius of arterioles, blood viscosity, vessel length & blood flow
-Decrease diameter: vasoconstriction
-Increase diameter: vasodilation
HIGH resistance= HIGH blood pressure
LOW resistance= LOW blood pressure
-Arteriole radius determined by intrinsic (metabolic control) and extrinsic (sympathetic activity, hormones: ADH and angiotensin II) factors

44
Q

Why are cardiovascular regulatory mechanisms important for blood flow?

A

Ensures blood flow through tissues meets demands for oxygen and nutrients

45
Q

Describe auto regulation of blood flow

A
  • Local/immediate adjustment
  • Peripheral resistance within individual tissues adjusted
  • Smooth muscle cells in pre-capillary sphincters respond automatically to changes in local environment
46
Q

Describe neural regulation of blood flow

A
  • Involves nervous system
  • Makes short-term adjustments to CO and maintain BP & adequate blood flow
  • Receive input from sensors that detect changes in:
  • arterial blood/BP
  • PH
  • Gas concentration
  • Increase CO= increase BP from sympathetic NS
  • Decrease CO, decrease BP from parasympathetic NS
47
Q

Describe the baroreceptor reflex

A
  • Prevents sudden rise/fall in BP
  • Pressure sensor monitors stretch in wall of vessels
  • Restores homeostasis via negative feedback
48
Q

What is the role of chemoreceptors?

A
  • Short term regulation
  • Responds to changes in chemicals
  • Integrates cardiovascular and and respiratory system
49
Q

Describe role of hormones in the cardiovascular system

A
SHORT term regulation:
-Adrenaline/noradrenaline
-sympathetic response
LONG term regulation
-alters fluid balance and blood volume with:
*Angiotensin II
*Aldosterone
-ADH
50
Q

Describe renal regulation in the cardiovascular system

A
  • Endocrine response of kidneys to increase BV & BP
  • In response to decreased oxygen
  • EPO release, more RBCs
  • Increased hematocrit: increase BV
  • Increase BP delivers more oxygen to kidneys
  • Renin released to stimulate RAAS pathway